Form A B G Department of the Treasury Internal Revenue Service 141 U.S. Income Tax Return for Estates and Trusts X X Sign Here Check all that apply: Decedent's estate Simple trust Complex trust Qualified disability trust ESBT (S portion only) Grantor type trust Bankruptcy estate-ch. 7 Bankruptcy estate-ch. 11 Pooled income fund Paid Preparer Use Only DAA 4 Information about Form 141 and its separate instructions is at www.irs.gov/form141. Income Deductions Tax and Payments F For calendar year or fiscal year beginning Name of estate or trust (If a grantor type trust, see the instr.) Name and title of fiduciary Number, street, and room or suite no. (If a P.O. box, see the instructions.) 1 Interest income................................................................................................... 1 2a Total ordinary dividends.......................................................................................... 2a b Qualified dividends allocable to: (1) Beneficiaries 13,139........................... (2) Estate or trust 2,868........................... 3 Business income or (loss). Attach Schedule C or C-EZ (Form 14)............................................. 3 4 Capital gain or (loss). Attach Schedule D (Form 141)........................................................... 4 5 Rents, royalties, partnerships, other estates and trusts, etc. Attach Schedule E (Form 14)..................... 5 6 Farm income or (loss). Attach Schedule F (Form 14).......................................................... 6 7 Ordinary gain or (loss). Attach Form 4797........................................................................ 7 8 Other income. List type and amount.............................................................................. 8 9 Total income. Combine lines 1, 2a, and 3 through 8......................................................... u 9 1 Interest. Check if Form 4952 is attached u 1 11 11 12 Fiduciary fees.................................................................................................... 12 13 Charitable deduction (from Schedule A, line 7)................................................................... 13 14 Attorney, accountant, and return preparer fees................................................................... 14 15a Other deductions not subject to the 2% floor (attach schedule)................................................... 15a b Net operating loss deduction (see instructions)................................................................... 15b c Allowable miscellaneous itemized deductions subject to the 2% floor............................................. 15c 16 Add lines 1 through 15c..................................................................................... u 16 17 Adjusted total income or (loss). Subtract line 16 from line 9 17 235,693............................. 18 Income distribution deduction (from Sch. B, line 15). Attach Schedules K-1 (Form 141).................................................. 18 19 Estate tax deduction including certain generation-skipping taxes (attach computation)....................................... 19 2 Exemption........................................................................................................ 2 21 Add lines 18 through 2...................................................................................... u 21 22 Taxable income. Subtract line 21 from line 17. If a loss, see instructions......................................... 22 23 Total tax (from Schedule G, line 7).............................................................................. 23 24 Payments: a estimated tax payments and amount applied from 212 return.............................. 24a b Estimated tax payments allocated to beneficiaries (from Form 141-T)........................................... 24b c Subtract line 24b from line 24a................................................................................... 24c d Tax paid with Form 74 (see instructions)....................................................................... 24d e Federal income tax withheld. If any is from Form(s) 199, check u....................................... 24e Other payments: f Form 2439............................ ; g Form 4136........................... ; Total u 24h 25 Total payments. Add lines 24c through 24e, and 24h........................................................ u 25 26 Estimated tax penalty (see instructions).......................................................................... 26 27 Tax due. If line 25 is smaller than the total of lines 23 and 26, enter amount owed............................... 27 28 Overpayment. If line 25 is larger than the total of lines 23 and 26, enter amount overpaid....................... 28 29 Amount of line 28 to be: a Credited to 214 estimated tax u ; b Refunded u 29 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. u Signature of fiduciary or officer representing fiduciary Date EIN of fiduciary if a financial institution For Paperwork Reduction Act Notice, see the separate instructions., and ending Taxes............................................................................................................ C D E Date entity created OMB No. 1545-92 Nonexempt charitable and splitinterest trusts, check applicable box(es), see instructions. Described in sec. 4947(a)(1). Check here City or town, state or province, country, and ZIP or foreign if not a private foundation.......... postal code Described in sec. 4947(a)(2) Number of Schedules K-1 Check Initial return Final return Amended return Net operating loss carryback attached (see applicable instructions) 4 2 boxes: Change in trust's name Change in fiduciary Change in fiduciary's name Change in fiduciary's address Check here if the estate or filing trust made a section 645 election........................ u Trust EIN } Print/Type preparer's name.............................................................. Preparer's signature Jonathan S Ingber Jonathan S Ingber 5/9/14 Firm's name u Firm's address u The Oliver Elsworth Revocable Trust Melville Fuller Trustee 169 East Flagler Street [Suite 8] Miami FL 33131-1296 Jonathan S Ingber, CPA 2544 Jardin Ln Date Employer identification number 26-1789186 9/17/1787 Check self-employed Firm's EIN May the IRS discuss this return with the preparer shown below (see instr.)? Weston, FL 33327-1511 Phone no. 954-632-3714 u if PTIN Yes u 26,454 16,7 81,67 185,917 31,48 3,799 37,87 73 26,468 See Statement 1 125 X 5,426 74,355 126,423 1 126,523 19,17 1,979,124 39,136 13,5 25,636 25,636 1,953,488 X P77146 No Form 141 ()
Form 141 () Page 2 Schedule A Charitable Deduction. Do not complete for a simple trust or a pooled income fund. 1 Amounts paid or permanently set aside for charitable purposes from gross income (see instructions)..................... 1 2 Tax-exempt income allocable to charitable contributions (see instructions)................................................ 2 3 Subtract line 2 from line 1................................................................................................. 3 4 Capital gains for the tax year allocated to corpus and paid or permanently set aside for charitable purposes.............. 4 5 Add lines 3 and 4......................................................................................................... 5 6 Section 122 exclusion allocable to capital gains paid or permanently set aside for charitable purposes (see instructions)................ 6 7 Charitable deduction. Subtract line 6 from line 5. Enter here and on page 1, line 13..................................... 7 Schedule B Income Distribution Deduction 1 Adjusted total income (see instructions)................................................................................... 1 2 Adjusted tax-exempt interest.............................................................................................. 2 3 Total net gain from Schedule D (Form 141), line 19, column (1) (see instructions)....................................... 3 4 Enter amount from Schedule A, line 4 (minus any allocable section 122 exclusion)...................................... 4 5 Capital gains for the tax year included on Schedule A, line 1 (see instructions)............................................ 5 6 Enter any gain from page 1, line 4, as a negative number. If page 1, line 4, is a loss, enter the loss as a positive number................. 6 7 Distributable net income. Combine lines 1 through 6. If zero 8 determined under the governing instrument and applicable local law.................... 8 9 Income required to be distributed currently................................................................................ 9 1 Other amounts paid, credited, or otherwise required to be distributed..................................................... 1 11 Total distributions. Add lines 9 and 1. If greater than line 8, see instructions............................................. 11 12 Enter the amount of tax-exempt income included on line 11............................................................... 12 13 Tentative income distribution deduction. Subtract line 12 from line 11..................................................... 13 14 Tentative income distribution deduction. Subtract line 2 from line 7. If zero or less, enter --.............................. 14 15 Income distribution deduction. Enter the smaller of line 13 or line 14 here and on page 1, line 18...................... 15 Schedule G Tax Computation (see instructions) 1 Tax: a Tax on taxable income (see instructions)..................................... 1a b Tax on lump-sum distributions. Attach Form 4972............................ 1b c Alternative minimum tax (from Schedule I (Form 141), line 56) 1c.............. d Total. Add lines 1a through 1c.............................................................................. 1d 2a Foreign tax credit. Attach Form 1116.................................................... 2a b General business credit. Attach Form 38............................................. 2b c Credit for prior year minimum tax. Attach Form 881.................................... 2c d Bond credits. Attach Form 8912......................................................... 2d e Total credits. Add lines 2a through 2d............................................................................... 2e 3 Subtract line 2e from line 1d. If zero or less, enter --.................................................................. 3 4 Net investment income tax from Form 896, line 21....................................................................... 4 5 Recapture taxes. Check if from: Form 4255 Form 8611.................................................... 5 6 Household employment taxes. Attach Schedule H (Form 14)........................................................... 6 7 Total tax. Add lines 3 through 6. See Statement 2 Enter here and on page 1, line 23...................................................................................... 7 1 2 3 or less, enter --.......................................................................................................... If a complex trust, enter accounting income for the tax year as 131,142 25,817 Other Information Yes No Did the estate or trust receive tax-exempt income? If "Yes," attach a computation of the allocation of expenses................................. Enter the amount of tax-exempt interest income and exempt-interest dividends u $........................................................ Did the estate or trust receive all or any part of the earnings (salary, wages, and other compensation) of any individual by reason of a contract assignment or similar arrangement?.......................................................................... At any time during calendar year, did the estate or trust have an interest in or a signature or other authority over a bank, securities, or other financial account in a foreign country?......................................................................... See the instructions for exceptions and filing requirements for FinCEN Form 114. If Yes, enter the name of the 7 75 2 73 73 73 235,693 22,196-81,67 176,219 144,642 144,642 18,219 126,423 154,23 126,423 25,817 25,817 311,496 Sec. 641(c) 1,641,811 1,979,124 24,125 See Stmt 3 X X X 4 5 6 7 8 9 DAA foreign country u............................................................................................................................... During the tax year, did the estate or trust receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If Yes, the estate or trust may have to file Form 352. See instructions.......................................................... Did the estate or trust receive, or pay, any qualified residence interest on seller-provided financing? If "Yes," see the instructions for required attachment.............................................................................................................. If this is an estate or a complex trust making the section 663(b) election, check here (see instructions)................................ To make a section 643(e)(3) election, attach Schedule D (Form 141), and check here (see instructions)............................. If the decedent's estate has been open for more than 2 years, attach an explanation for the delay in closing the estate, and check here................................................................................................................. Are any present or future trust beneficiaries skip persons? See instructions..................................................................... X X X Form 141 ()
SCHEDULE I (Form 141) Department of the Treasury Internal Revenue Service Name of estate or trust Alternative Minimum Tax Estates and Trusts u Attach to Form 141. u Information about Schedule I (Form 141) and its separate instructions is at www.irs.gov/form141. Employer identification number OMB No. 1545-92 1 Adjusted total income or (loss) (from Form 141, line 17)................................................................. 1 2 Interest................................................................................................................... 2 3 Taxes..................................................................................................................... 3 4 Miscellaneous itemized deductions (from Form 141, line 15c)........................................................... 4 5,426 5 6 Refund of taxes........................................................................................................... Depletion (difference between regular tax and AMT)...................................................................... 5 6 ( ) 7 Net operating loss deduction. Enter as a positive amount................................................................. 7 8 Interest from specified private activity bonds exempt from the regular tax................................................. 8 6,373 9 1 11 12 13 14 15 16 17 18 19 2 21 22 23 Qualified small business stock (see instructions).......................................................................... Exercise of incentive stock options (excess of AMT income over regular tax income)..................................... Other estates and trusts (amount from Schedule K-1 (Form 141), box 12, code A)...................................... Electing large partnerships (amount from Schedule K-1 (Form 165-B), box 6)........................................... Disposition of property (difference between AMT and regular tax gain or loss)............................................ Depreciation on assets placed in service after 1986 (difference between regular tax and AMT)........................... Passive activities (difference between AMT and regular tax income or loss).............................................. Loss limitations (difference between AMT and regular tax income or loss)................................................ Circulation costs (difference between regular tax and AMT)............................................................... Long-term contracts (difference between AMT and regular tax income)................................................... Mining costs (difference between regular tax and AMT)................................................................... Research and experimental costs (difference between regular tax and AMT)............................................. Income from certain installment sales before January 1, 1987............................................................ Intangible drilling costs preference........................................................................................ Other adjustments, including income-based related adjustments.......................................................... 9 1 11 12 13 14 15 16 17 18 19 2 21 ( 22 23 ) 24 Alternative tax net operating loss deduction (See the instructions for the limitation that applies.).......................... 24 ( ) 25 Adjusted alternative minimum taxable income. Combine lines 1 through 24............................................... 25 247,492 Note: Complete Part II below before going to line 26. 26 Income distribution deduction from Part II, line 44....................................... 26 27 Estate tax deduction (from Form 141, line 19)......................................... 27.......................... 28 29 Add lines 26 and 27....................................................................................................... Estate s or trust s share of alternative minimum taxable income. Subtract line 28 from line 25............................. 28 29 3 31 32 33 34 35 36 37 38 39 4 41 42 Part I Estate s or Trust s Share of Alternative Minimum Taxable Income If line 29 is: trust is not liable for the alternative minimum tax. Part II $23,1 or less, stop here and enter -- on Form 141, Schedule G, line 1c. The estate or Over $23,1, but less than $169,35, go to line 45. $169,35 or more, enter the amount from line 29 on line 51 and go to line 52. Income Distribution Deduction on a Minimum Tax Basis Adjusted alternative minimum taxable income (see instructions).......................................................... Adjusted tax-exempt interest (other than amounts included on line 8)..................................................... Total net gain from Schedule D (Form 141), line 19, column (1). If a loss, enter --...................................... Capital gains for the tax year allocated to corpus and paid or permanently set aside for charitable purposes (from Form 141, Schedule A, line 4)........................................................................... Capital gains paid or permanently set aside for charitable purposes from gross income (see instructions)............................... Capital gains computed on a minimum tax basis included on line 25...................................................... Capital losses computed on a minimum tax basis included on line 25. Enter as a positive amount........................ Distributable net alternative minimum taxable income (DNAMTI). Combine lines 3 through 36. If zero or less, enter --................. Income required to be distributed currently (from Form 141, Schedule B, line 9)......................................... Other amounts paid, credited, or otherwise required to be distributed (from Form 141, Schedule B, line 1)............. Total distributions. Add lines 38 and 39................................................................................... Tax-exempt income included on line 4 (other than amounts included on line 8).......................................... Tentative income distribution deduction on a minimum tax basis. Subtract line 41 from line 4............................ For Paperwork Reduction Act Notice, see the Instructions for Form 141. 131,919 3 31 32 33 34 35 36 37 38 39 4 41 42 ( 235,693 131,919 115,573 247,492 15,993 81,67 181,815 144,642 144,642 12,723 131,919 Schedule I (Form 141) () ) DAA
Schedule I (Form 141) () Page 2 Part II 43 44 45 Exemption amount........................................................................................................ 45 57 58 59 6 61 62 63 64 65 Caution: Income Distribution Deduction on a Minimum Tax Basis (continued) Tentative income distribution deduction on a minimum tax basis. Subtract line 31 from line 37. If zero or less, enter --................................................................................................... Income distribution deduction on a minimum tax basis. Enter the smaller of line 42 or line 43. Enter here and on line 26................................................................................................. Part III Alternative Minimum Tax 46 Enter the amount from line 29........................................................... 46 47 Phase-out of exemption amount........................................................ 47 48 Subtract line 47 from line 46. If zero or less, enter --................................... 48 49 Multiply line 48 by 25% (.25).............................................................................................. 49 5 Subtract line 49 from line 45. If zero or less, enter --..................................................................... 5 51 Subtract line 5 from line 46.............................................................................................. 51 52 Go to Part IV of Schedule I to figure line 52 if the estate or trust has qualified dividends or has a gain on lines 18a and 19 of column (2) of Schedule D (Form 141) (as refigured for the AMT, if necessary). Otherwise, if line 51 is $179,5 or less, multiply line 51 by 26% (.26). Sec. 641(c) Over $179,5, multiply line 51 by 28% (.28) and subtract $3,59 from the result 1,625,286 52 1,645,712...................................... 53 Alternative minimum foreign tax credit (see instructions).................................................................. 53 54 Tentative minimum tax. Subtract line 53 from line 52...................................................................... 54 1,645,712 55 Enter the tax from Form 141, Schedule G, line 1a (minus any foreign tax credit from Schedule G, line 2a) 55 1,667,628............... 56 Alternative minimum tax. Subtract line 55 from line 54. If zero or less, enter --. Enter here and on Form 141, Schedule G, line 1c....................................................................................................... 56 Part IV Line 52 Computation Using Maximum Capital Gains Rates If you did not complete Part V of Schedule D (Form 141), the Schedule D Tax Worksheet, or the Qualified Dividends Tax Worksheet in the Instructions for Form 141, see the instructions before completing this part. Enter the amount from line 51............................................................................................. Enter the amount from Schedule D (Form 141), line 26, line 13 of the Schedule D Tax Worksheet, or line 4 of the Qualified Dividends Tax Worksheet in the Instructions for Form 141, whichever applies (as refigured for the AMT, if necessary)..................................................... Enter the amount from Schedule D (Form 141), line 18b, column (2) (as refigured for the AMT, if necessary). If you did not complete Schedule D for the regular tax or the AMT, enter --................................................. If you did not complete a Schedule D Tax Worksheet for the regular tax or the AMT, enter the amount from line 58. Otherwise, add lines 58 and 59 and enter the smaller of that result or the amount from line 1 of the Schedule D Tax Worksheet (as refigured for the AMT, if necessary).................... Enter the smaller of line 57 or line 6..................................................................................... Subtract line 61 from line 57.............................................................................................. If line 62 is $179,5 or less, multiply line 62 by 26% (.26). Otherwise, multiply line 62 by 28% (.28) and subtract $3,59 from the result............................................................................... Maximum amount subject to the % rate................................................ 64 Enter the amount from line 27 of Schedule D (Form 141), line 14 of the Schedule D Tax Worksheet, or line 5 of the Qualified Dividends Tax Worksheet in the Instructions for Form 141, whichever applies (as figured for the regular tax). If you did not complete Schedule D or either worksheet for the regular tax, enter the amount from Form 141, line 22; but do not enter less than --........................................................ 65 66 Subtract line 65 from line 64. If zero or less, enter --................................... 66 67 Enter the smaller of line 57 or line 58................................................... 67 68 Enter the smaller of line 66 or line 67. This amount is taxed at %..................... 68 69 Subtract line 68 from line 67............................................................ 69 58 59 6 115,573 76,95 38,623 75,488 6,688 82,176 2,45 33,682 75,488 75,488 43 44 57 61 62 63 165,822 131,919 23,1 9,656 13,444 12,129 12,129 82,176 19,953 5,188 Schedule I (Form 141) () DAA
Schedule I (Form 141) () Part IV 7 71 72 73 74 75 Line 52 Computation Using Maximum Capital Gains Rates (continued) Multiply line 71 by 15% (.15)........................................................................................... Add lines 68 and 71..................................................................... 73 If lines 73 and 57 are the same, skip lines 74 through 78 and go to line 79. Otherwise, go to line 74. Multiply line 74 by 2% (.2)........................................................................................... If line 59 is zero or blank, skip lines 76 through 78 and go to line 79. Otherwise, go to line 76. 76 Add lines 62, 73, and 74................................................................ 76 77 Subtract line 76 from line 57............................................................ 77 78 Multiply line 77 by 25% (.25)........................................................................................... 78 79 8 Add lines 63, 72, 75, and 78.............................................................................................. If line 57 is $179,5 or less, multiply line 57 by 26% (.26). Otherwise, multiply line 57 by 28% (.28) 79 81 Enter the amount from the Line 7 Worksheet in the instructions....................... Enter the smaller of line 69 or 7....................................................... Subtract line 73 from line 67............................................................ and subtract $3,59 from the result....................................................................................... Enter the smaller of line 79 or line 8 here and on line 52................................................................ 7 71 74 12,129 12,129 72 75 8 81 Page 3 2,426 2,426 26,554 2,426 Schedule I (Form 141) () DAA
SCHEDULE D (Form 141) Department of the Treasury Internal Revenue Service Name of estate or trust Capital Gains and Losses u Attach to Form 141, Form 5227, or Form 99-T. u Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9 and 1. u Information about Schedule D and its separate instructions is at www.irs.gov/form141. OMB No. 1545-92 Employer identification number Note: Form 5227 filers need to complete only Parts I and II. Part I Short-Term Capital Gains and Losses Assets Held One Year or Less See instructions for how to figure the amounts to enter on the (d) (e) (g) (h) Gain or (loss) lines below. Proceeds Cost Adjustments Subtract column (e) to gain or loss from from column (d) and This form may be easier to complete if you round off cents to (sales price) (or other basis) Form(s) 8949, Part I, combine the result with whole dollars. line 2, column (g) column (g) 1a Totals for all short-term transactions reported on Form 199-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions 1b 2 3 on Form 8949, leave this line blank and go to line 1b...... Totals for all transactions reported on Form(s) 8949 with Box A checked.................................. Totals for all transactions reported on Form(s) 8949 with Box B checked.................................. Totals for all transactions reported on Form(s) 8949 with Box C checked.................................. 4 Short-term capital gain or (loss) from Forms 4684, 6252, 6781, and 8824................................................. 4 5 6 7 Net short-term gain or (loss) from partnerships, S corporations, and other estates or trusts............................... Short-term capital loss carryover. Enter the amount, if any, from line 9 of the 212 Capital Loss Carryover Worksheet..................................................................................................... Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). Enter here and on line 17, column (3) on the back....................................................................................... u Part II Long-Term Capital Gains and Losses Assets Held More Than One Year 5 6 7 ( 2,362 2,362 ) See instructions for how to figure the amounts to enter on the lines below. This form may be easier to complete if you round off cents to whole dollars. (d) Proceeds (sales price) (e) Cost (or other basis) (g) Adjustments to gain or loss from Form(s) 8949, Part II, line 2, column (g) (h) Gain or (loss) Subtract column (e) from column (d) and combine the result with column (g) 8a Totals for all long-term transactions reported on Form 199-B for which basis was reported to the IRS and for which you have no adjustments (see instructions). However, if you choose to report all these transactions 8b 9 1 on Form 8949, leave this line blank and go to line 8b...... Totals for all transactions reported on Form(s) 8949 with Box D checked.................................. Totals for all transactions reported on Form(s) 8949 with Box E checked.................................. Totals for all transactions reported on Form(s) 8949 with Box F checked.................................. 13,425 94,823 35,62 11 Long-term capital gain or (loss) from Forms 2439, 4684, 6252, 6781, and 8824.......................................... 11 12 13 14 15 16 Net long-term gain or (loss) from partnerships, S corporations, and other estates or trusts................................ Capital gain distributions.................................................................................................. Gain from Form 4797, Part I.............................................................................................. Long-term capital loss carryover. Enter the amount, if any, from line 14 of the 212 Capital Loss Carryover Worksheet..................................................................................................... Net long-term capital gain or (loss). Combine lines 8a through 15 in column (h). Enter here and on line 18a, column (3) on the back...................................................................................... u For Paperwork Reduction Act Notice, see the Instructions for Form 141. 12 13 14 15 ( ) 16 5,816 37,89 79,38 Schedule D (Form 141) DAA
Schedule D (Form 141) Page 2 17 18 b Unrecaptured section 125 gain (see line 18 of the wrksht.)...... 18b c 28% rate gain..................................................... 18c 19 Total net gain or (loss). Combine lines 17 and 18a.......... u 19 Note: If line 19, column (3), is a net gain, enter the gain on Form 141, line 4 (or Form 99-T, Part I, line 4a). If lines 18a and 19, column (2), are net 2 but not less than zero................................. 22 23 Enter the estate's or trust's qualified dividends from Form 141, line 2b(2) (or enter the qualified dividends included in income in Part I of Form 99-T)................. 23 24 Add lines 22 and 23................................... 24 25 If the estate or trust is filing Form 4952, enter the amount from line 4g; otherwise, enter --........ u 25 26 Subtract line 25 from line 24. If zero or less, enter --................................... 26 27 Subtract line 26 from line 21. If zero or less, enter --................................... 27 28 Enter the smaller of the amount on line 21 or $2,45................................... 28 29 Enter the smaller of the amount on line 27 or line 28................................... 29 3 Subtract line 29 from line 28. If zero or less, enter --. This amount is taxed at %.................................... u 3 31 Enter the smaller of line 21 or line 26................................................... 31 32 Subtract line 3 from line 26............................................................ 32 33 Enter the smaller of line 21 or $11,95................................................. 33 34 Add lines 27 and 3..................................................................... 34 35 Subtract line 34 from line 33. If zero or less, enter --................................... 35 36 Enter the smaller of line 32 or line 35................................................... 36 37 Multiply line 36 by 15%................................................................................................ u 37 38 Enter the amount from line 31........................................................... 38 39 Add lines 3 and 36..................................................................... 39 4 Subtract line 39 from line 38. If zero or less, enter -- 4................................... 41 Multiply line 4 by 2%................................................................................................ u 41 45 Part III a Net short-term gain or (loss)....................................... Net long-term gain or (loss): Part IV Capital Loss Limitation Enter here and enter as a (loss) on Form 141, line 4 (or Form 99-T, Part I, line 4c, if a trust), the smaller of: a The loss on line 19, column (3) or b $3,......................................................................... 2 ( ) Note: If the loss on line 19, column (3), is more than $3,, or if Form 141, page 1, line 22 (or Form 99-T, line 34), is a loss, complete the Capital Loss Carryover Worksheet in the instructions to figure your capital loss carryover. Part V Summary of Parts I and II Caution: Read the instructions before completing this part. Total for year..................................................... Tax Computation Using Maximum Capital Gains Rates Form 141 filers. Complete this part only if both lines 18a and 19 in column (2) are gains, or an amount is entered in Part I or Part II and there is an entry on Form 141, line 2b(2), and Form 141, line 22, is more than zero. (see instr.) 21 Enter taxable income from Form 141, line 22 (or Form 99-T, line 34)................. 21 22 Enter the smaller of line 18a or 19 in column (2) and Trusts (see the Schedule G instructions in the instructions for Form 141)......... 44 Tax on all taxable income. Enter the smaller of line 43 or line 44 here and on Form 141, Schedule G, line 1a (or Form 99-T, line 36).................................................................................... 17 18a (1) Beneficiaries' (2) Estate's or trust's gains, go to Part V, and do not complete Part IV. If line 19, column (3), is a net loss, complete Part IV and the Capital Loss Carryover Worksheet, as necessary. Caution: Skip this part and complete the Schedule D Tax Worksheet in the instructions if: Either line 18b, col. (2) or line 18c, col. (2) is more than zero, or Both Form 141, line 2b(1), and Form 4952, line 4g are more than zero. Form 99-T trusts. Complete this part only if both lines 18a and 19 are gains, or qualified dividends are included in income in Part I of Form 99-T, and Form 99-T, line 34, is more than zero. Skip this part and complete the Schedule D Tax Worksheet in the instructions if either line 18b, col. (2) or line 18c, col. (2) is more than zero. 42 Figure the tax on the amount on line 27. Use the Tax Rate Schedule for Estates and Trusts (see the Schedule G instructions in the instructions for Form 141)......... 42 43 Add lines 37, 41, and 42................................................................ 43 44 Figure the tax on the amount on line 21. Use the Tax Rate Schedule for Estates u (3) Total 2,362 2,362 79,38 79,38 6,688 6,688 81,67 81,67 25,817 45 Schedule D (Form 141) DAA
SCHEDULE E (Form 14) Department of the Treasury Internal Revenue Service Name(s) shown on return (99) Supplemental Income and Loss (From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.) } Attach to Form 14, 14NR, or Form 141. } Information about Schedule E and its separate instructions is at www.irs.gov/schedulee. Your social security number OMB No. 1545-74 Attachment Sequence No. 13 A B 3 4 5 6 7 8 9 1 11 12 13 14 15 16 17 22 Part I 1a A B C Did you make any payments in that would require you to file Form(s) 199? (see instructions) If "Yes," did you or will you file all required Forms 199? Type of Property: 1 2 1b A B C Income: Physical address of each property (street, city, state, ZIP code) Type of Property (from list below) Rents received...................................................... Royalties received.................................................. Expenses: Income or Loss From Rental Real Estate and Royalties Note. If you are in the business of renting personal property, use Schedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 4. 254 Arbor Way Richmond VA 2323 2.................................................... Single Family Residence Multi-Family Residence Advertising.......................................................... Auto and travel (see instructions)................................... Cleaning and maintenance.......................................... Commissions....................................................... Insurance........................................................... Legal and other professional fees................................... Management fees................................................... Mortgage interest paid to banks, etc. (see instructions)..................... Other interest....................................................... Repairs............................................................. Supplies............................................................ Taxes............................................................... Utilities.............................................................. file Form 6198...................................................... Deductible rental real estate loss after limitation, if any, 3 4 2 For each rental real estate property listed above, report the number of fair rental and personal use days. Check the QJV box only if you meet the requirements to file as a qualified joint venture. See instructions. Vacation/Short-Term Rental Commercial Properties: 18 Depreciation expense or depletion.................................. 18 19 Other (list) See Statement 4....................................................... 19 15,572 2 Total expenses. Add lines 5 through 19........................................ 2 648,284 21 Subtract line 2 from line 3 (rents) and/or 4 (royalties). If result is a (loss), see instructions to find out if you must on Form 8582 (see instructions).................................... 22 ( )( )( 23a Total of all amounts reported on line 3 for all rental properties................................... 23a 775,414 b Total of all amounts reported on line 4 for all royalty properties.................................. 23b c Total of all amounts reported on line 12 for all properties........................................ 23c 172,314 d Total of all amounts reported on line 18 for all properties........................................ 23d 163,296 e Total of all amounts reported on line 2 for all properties........................................ 23e 648,284 24 Income. Add positive amounts shown on line 21. Do not include any losses............................................... 24 25 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here.................. 25 ( 26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result here. If Parts II, III, IV, and line 4 on page 2 do not apply to you, also enter this amount on Form 14, line 5 6 Land Royalties 8 3 4 5 6 7 8 9 1 11 12 13 14 15 16 17 21 Self-Rental Other (describe) Personal Use Days 17, or Form 14NR, line 18. Otherwise, include this amount in the total on line 41 on page 2.............................. 26 For Paperwork Reduction Act Notice, see the separate instructions. Schedule E (Form 14) DAA 7 A 775,414 4,297 16,382 34,463 15,386 17,231 47,386 172,314 55,869 5,77 39,925 61,86 163,296 127,13 17,45 A B C Fair Rental Days B Yes Yes C QJV No No 127,13 17,45 11,85 ) )
Schedule E (Form 14) Attachment Sequence No. 13 Page 2 Name(s) shown on return. Do not enter name and social security number if shown on other side. Caution. The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1. 27 28 A B C D A B C D 29a Part II b Part III Part IV Income or Loss From Partnerships and S Corporations Note. If you report a loss from an at-risk activity for which any amount is not at risk, you must check the box in column (e) on line 28 and attach Form 6198. See instructions. Passive Income and Loss Income or Loss From Estates and Trusts (b) Enter P for (c) Check if (d) Employer (e) Check if partnership; S foreign identification any amount is for S corporation partnership number not at risk Nonpassive Income and Loss 3 Add columns (g) and (j) of line 29a........................................................................................ 3 31 Add columns (f), (h), and (i) of line 29b.................................................................................... 31 ( ) 32 Total partnership and S corporation income or (loss). Combine lines 3 and 31. Enter the 33 A B A B 34a b Passive Income and Loss 37 Income or Loss From Real Estate Mortgage Investment Conduits (REMICs) Residual Holder 32 Yes Nonpassive Income and Loss 35 Add columns (d) and (f) of line 34a........................................................................................ 35 36 Add columns (c) and (e) of line 34b....................................................................................... 36 ( ) 37 Total estate and trust income or (loss). Combine lines 35 and 36. Enter the result here and 38 Are you reporting any loss not allowed in a prior year due to the at-risk, excess farm loss, or basis limitations, a prior year unallowed loss from a passive activity (if that loss was not reported on Form 8582), or unreimbursed partnership expenses? If you answered Yes, see instructions before completing this section. Totals Totals result here and include in the total on line 41 below...................................................................... Totals Totals (attach Form 8582 if required) from Schedule K-1 from Schedule K-1 deduction from Form 4562 from Schedule K-1 (attach Form 8582 if required) from Schedule K-1 from Schedule K-1 include in the total on line 41 below....................................................................................... Your social security number (a) Name The Edward White LLLP P 11-168432 (f) Passive loss allowed (g) Passive income (h) Nonpassive loss (i) Section 179 expense (j) Nonpassive income (a) Name No (b) Employer identification number (c) Passive deduction or loss allowed (d) Passive income (e) Deduction or loss (f) Other income from (a) Name 69,456 69,456 Warren Burger Credit Shelter Trust 45-173966 6,376 6,376 Schedule K-1 (c) Excess inclusion from (b) Employer (d) Taxable income (net loss) (e) Income from Schedules Q, line 2c identification number from Schedules Q, line 1b Schedules Q, line 3b (see instructions) X 69,456 69,456 6,376 6,376 39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below......................... 39 Part V Summary 4 Net farm rental income or (loss) from Form 4835. Also, complete line 42 below.......................................... 4 41 Total income or (loss). Combine lines 26, 32, 37, 39, and 4. Enter the result here and on Form 14, line 17, or Form 14NR, line 18................. 41 42 Reconciliation of farming and fishing income. Enter your gross farming and fishing income reported on Form 4835, line 7; Schedule K-1 (Form 165), box 14, code B; Schedule K-1 (Form 112S), box 17, code V; and Schedule K-1 (Form 141), box 14, code F (see instructions).................... 43 Reconciliation for real estate professionals. If you were a real estate professional (see instructions), enter the net income or (loss) you reported anywhere on Form 14 or Form 14NR from all rental real estate activities in which you materially participated under the passive activity loss rules................ DAA 42 43 185,917 Schedule E (Form 14)
Beneficiary 1 Schedule K-1 (Form 141) Department of the Treasury For calendar year, Internal Revenue Service or tax year beginning and ending Beneficiary's Share of Income, Deductions, Credits, etc. u See back of form and instructions. Part I Information About the Estate or Trust A Estate's or trust's employer identification number, 1 2a 2b 3 4a Final K-1 Amended K-1 OMB No. 1545-92 Part III Interest income Ordinary dividends Qualified dividends Beneficiary's Share of Current Year Income, Deductions, Credits, and Other Items Net short-term capital gain Net long-term capital gain 7,93 6,569 6,569 11 Final year deductions 661113 B 26-1789186 Estate's or trust's name 4b 28% rate gain 12 Alternative minimum tax adjustment A 2,748 4c Unrecaptured section 125 gain B 286 C The Oliver Elsworth Revocable Trust Fiduciary's name, address, city, state, and ZIP code 5 Other portfolio and nonbusiness income J 2,748 Melville Fuller Trustee 169 East Flagler Street [Suite 8] Miami FL 33131-1296 6 7 8 Ordinary business income Net rental real estate income Other rental income 26,254 22,459 13 Credits and credit recapture A 6,75 9 Directly apportioned deductions D X Check if Form 141-T was filed and enter the date it was filed 3/6/14 14 Other information A 9,11 E F Check if this is the final Form 141 for the estate or trust Part II Information About the Beneficiary Beneficiary's identifying number 233-62-3311 1 Estate tax deduction E* 14,499 STMT I* STMT G Beneficiary's name, address, city, state, and ZIP code Fred Vinson 527 Seabiscuit Terrace Louisville KY 422 *See attached statement for additional information. Note. A statement must be attached showing the beneficiary's share of income and directly apportioned deductions from each business, rental real estate, and other rental activity. X H Domestic beneficiary Foreign beneficiary For IRS Use Only For Paperwork Reduction Act Notice, see the Instructions for Form 141. IRS.gov/form141 Schedule K-1 (Form 141) DAA
Beneficiary 2 Schedule K-1 (Form 141) Department of the Treasury For calendar year, Internal Revenue Service or tax year beginning and ending Beneficiary's Share of Income, Deductions, Credits, etc. u See back of form and instructions. Part I Information About the Estate or Trust A Estate's or trust's employer identification number, 1 2a 2b 3 4a Final K-1 Amended K-1 OMB No. 1545-92 Part III Interest income Ordinary dividends Qualified dividends Beneficiary's Share of Current Year Income, Deductions, Credits, and Other Items Net short-term capital gain Net long-term capital gain 7,93 6,569 6,569 11 Final year deductions 661113 B 26-1789186 Estate's or trust's name 4b 28% rate gain 12 Alternative minimum tax adjustment A 2,748 4c Unrecaptured section 125 gain B 285 C The Oliver Elsworth Revocable Trust Fiduciary's name, address, city, state, and ZIP code 5 Other portfolio and nonbusiness income J 2,748 Melville Fuller Trustee 169 East Flagler Street [Suite 8] Miami FL 33131-1296 6 7 8 Ordinary business income Net rental real estate income Other rental income 26,253 22,459 13 Credits and credit recapture A 6,75 9 Directly apportioned deductions D X Check if Form 141-T was filed and enter the date it was filed 3/6/14 14 Other information A 9,19 E F Check if this is the final Form 141 for the estate or trust Part II Information About the Beneficiary Beneficiary's identifying number 175-82-6662 1 Estate tax deduction E* 14,499 STMT I* STMT G Beneficiary's name, address, city, state, and ZIP code John Jay 4-5 Junction Boulevard Corona NY 11368 *See attached statement for additional information. Note. A statement must be attached showing the beneficiary's share of income and directly apportioned deductions from each business, rental real estate, and other rental activity. X H Domestic beneficiary Foreign beneficiary For IRS Use Only For Paperwork Reduction Act Notice, see the Instructions for Form 141. IRS.gov/form141 Schedule K-1 (Form 141) DAA
Form Department of the Treasury Internal Revenue Service Name(s) shown on return Business or activity to which this form relates 1 2 3 4 5 6 Part I 4562 (99) Depreciation and Amortization (Including Information on Listed Property) u See separate instructions. u Attach to your tax return. (a) Description of property (b) Cost (business use only) (c) Elected cost Identifying number The John Marshall Garden Apartments Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I. Maximum amount (see instructions)...................................................................................... 1 Total cost of section 179 property placed in service (see instructions)..................................................... 2 Threshold cost of section 179 property before reduction in limitation (see instructions).................................... 3 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter --................................................ 4 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter --. If married filing separately, see instructions............. 5 OMB No. 1545-172 Attachment Sequence No. 179 7 Listed property. Enter the amount from line 29................................................ 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7..................................... 8 9 Tentative deduction. Enter the smaller of line 5 or line 8.................................................................. 9 1 Carryover of disallowed deduction from line 13 of your 212 Form 4562.................................................. 1 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions)......... 11 12 Section 179 expense deduction. Add lines 9 and 1, but do not enter more than line 11.................................. 12 13 Carryover of disallowed deduction to 214. Add lines 9 and 1, less line 12................ 13 Note: Do not use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Do not include listed property.) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions)...................................................................................... 14 15 Property subject to section 168(f)(1) election.............................................................................. 15 16 Other depreciation (including ACRS)...................................................................................... 16 Part III MACRS Depreciation (Do not include listed property.) (See instructions.) Section A 17 MACRS deductions for assets placed in service in tax years beginning before...................................... 17 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here................ u Section B Assets Placed in Service During Tax Year Using the General Depreciation System 19a b c d e f g h i DAA (a) Classification of property 3-year property 5-year property 7-year property 1-year property 15-year property 2-year property 25-year property Residential rental property Nonresidential real property (b) Month and year (c) Basis for depreciation (d) Recovery placed in (business/investment use (e) Convention (f) Method (g) Depreciation deduction service only see instructions) period 25 yrs. S/L 27.5 yrs. MM S/L 27.5 yrs. MM S/L 39 yrs. MM S/L MM S/L Section C Assets Placed in Service During Tax Year Using the Alternative Depreciation System 2a Class life S/L b 12-year 12 yrs. S/L c 4-year 4 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28................................................................................ 21 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 2 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations see instructions........................... 22 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs......................................... 23 For Paperwork Reduction Act Notice, see separate instructions. 121,875 17,46 121,875 5. HY 2DB 24,375 There are no amounts for Page 2 163,296 Form 4562 ()